Ambience Healthcare

Ambient notes, chart summaries and point-of-care coding for US health systems

Productivity Enterprise Has API
Researched · Published · Reviewed
RECATOOLS Score
8.2 / 10
Capability
9.2
Value for money
6.5
Ease of use
6.8
ASEAN readiness
2.5
API quality
7
Founded
2020
HQ
San Francisco, CA, USA
Users
40+ health system organizations; hundreds of thousands of clinician encounters monthly
Launched
2020; Series C unicorn round announced July 2025
Developer
Mike Ng (CEO), Nikhil Buduma (CTO)

Overview

Ambience Healthcare sells an AI platform to large US health systems: ambient clinical notes, chart-aware patient summaries, nursing tools and point-of-care ICD-10, E/M and HCC coding support inside Epic, Oracle Cerner and athenahealth. It raised a $243 million Series C in July 2025 and does not publish prices; since August 2026 its contracts tie fees to agreed outcomes.

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Pricing

Pricing shown for reference only. These figures reflect RECATOOLS research as of 14 Oct 2026 and may be out of date or incomplete. This is not financial or purchasing advice — always confirm the current price on the provider’s official website before making any decision.

Use cases

Large health systems seeking to reduce clinician documentation burden across outpatient, inpatient, and emergency departments Revenue cycle teams aiming to improve ICD-10 and CPT coding accuracy and recover lost reimbursement through AI-assisted CDI Hospitalists and inpatient teams needing real-time diagnostic specificity and POA designation support during rounding and discharge Epic-heavy health systems looking to extend ambient AI documentation across 100+ medical specialties without replacing their EHR CFOs and CIOs building a measurable ROI case for AI investment in clinical operations, tied to coding accuracy and documentation compliance

What you can produce with Ambience Healthcare

  • Ambient notes, orders and patient instructions drafted from the clinician-patient conversation
  • Chart-aware pre-visit and hospital-stay summaries built from labs, imaging and prior notes
  • ICD-10, E/M, HCC and Modifier 25 coding suggestions at the point of care
  • Inpatient H&P, progress notes and discharge summaries that draw on the full chart
  • Nursing shift summaries, Chart Chat questions and ambient flowsheet documentation
  • Referral letters and translation of non-English conversations into English documentation
  • A forward-deployed team that sets, tracks and is paid against outcome targets
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ASEAN Perspective

Ambience Healthcare in Southeast Asia

Ambience Healthcare is currently a US-focused product with no confirmed deployments, regional data-residency infrastructure, or local sales presence in ASEAN or broader APAC as of mid-2026. The platform's CDI and coding modules are calibrated to US-specific frameworks (ICD-10-CM, CPT, CMS compliance), which limits direct applicability to healthcare systems operating under ICD-10-AM (Australia, Singapore, Malaysia) or ICD-10-BN without significant customisation. ASEAN health systems exploring ambient AI documentation should monitor Ambience for future international expansion while evaluating locally available alternatives in the interim.

RECATOOLS Verdict

Ambience is one of the more substantial ambient-AI vendors: enterprise rollouts at Cleveland Clinic and Houston Methodist, a peer-reviewed account of onboarding 4,000+ Cleveland Clinic clinicians in four months, the 2026 KLAS/CHIME Trailblazer Award, and coding support that reasons over the whole chart rather than only the conversation. Treat its performance figures with care, though: the 27% coding result is the company's own benchmark and the $13,000-per-clinician figure is one customer's KLAS case study.

It is enterprise-only, unpriced in public and contracted on outcome targets, so it suits large US systems that can negotiate those targets. Small practices, and anyone outside US billing codes and EHRs, should look elsewhere.

Desk research by RECATOOLS from public sources, written with AI assistance — not a hands-on test. How we review

What we found

Ambience Healthcare is a San Francisco company, started in 2020 by Mike Ng and Nikhil Buduma, that sells an AI platform to large US health systems. It began as an ambient scribe that turns a clinician-patient conversation into a note, and now covers chart summaries before a visit, notes, orders and patient instructions during it, and ICD-10, E/M and HCC coding support afterwards. It runs inside Epic, Oracle Cerner and athenahealth across more than 200 specialties, the company says. Since February 2026 much of it is chart-aware, reasoning over labs, imaging and prior notes as well as the conversation, and a nursing suite followed in June.

The headline numbers mostly come from Ambience or its customers. Its claim that a coding model beat 18 board-certified physicians by 27% describes a relative reduction in errors on the company's own test set, announced in May 2025; earlier versions of this page called it independent testing. The $13,000 per clinician a year in extra coding revenue is one customer, St. Luke's Health System, in a KLAS case study, and Houston Methodist's 40% cut in documentation time comes from an Ambience release announcing that system's enterprise rollout. Two outside sources stand up better: a peer-reviewed npj Health Systems paper on how Cleveland Clinic onboarded more than 4,000 clinicians in four months, and the 2026 KLAS/CHIME Trailblazer Award.

A $243 million Series C in July 2025, co-led by Oak HC/FT and Andreessen Horowitz, took total funding to $345 million and, according to Fierce Healthcare, the valuation to $1.25 billion. No later round has been announced.

Prices are not published. In August 2026 Ambience introduced what it calls The Ambience Standard: forward-deployed clinical and engineering teams inside each customer, and contracts that put its fees at risk against the health system's own outcome targets rather than charging per seat. That suits large systems and rules out small practices, and everything is built around US billing codes and US EHRs, with no stated presence outside North America.

Compiled by RECATOOLS from public sources: vendor documentation and pricing, code repositories and published reporting.

Notable facts

  • Ambience's AI platform surpassed board-certified physicians by 27% in ICD-10 coding accuracy, validated against 18 experienced physicians on complex multi-specialty cases.
  • The OpenAI Startup Fund has backed Ambience in every major funding round — seed, Series B, and Series C — an unusually consistent bet from OpenAI's investment arm.
  • Ambience was the first ambient AI platform to launch inpatient CDI at the point of care, expanding beyond outpatient scribing into hospital rounding, admissions, and discharge workflows.
  • In under five years the company went from a seed round to a $1.25 billion valuation and $30 million ARR, with $373 million raised in total across four funding rounds.

Frequently asked questions

No. Ambience operates exclusively through an enterprise sales model. There is no free tier, no self-serve signup, and no public pricing. Organisations must schedule a demo and negotiate a custom contract, with implementation typically taking six to eighteen months.
Ambience natively integrates with Epic (including Epic Toolbox membership as of August 2025), Oracle Cerner, and athenahealth. It uses bidirectional FHIR APIs and the Epic Ambient Module to read and write directly into patient charts.
As of mid-2026, Ambience Healthcare's confirmed customer base is entirely in the United States. The platform's coding and CDI modules are built around US-specific standards (ICD-10-CM, CPT, CMS guidelines), and there is no public evidence of APAC or ASEAN deployments or regional data-residency options.

About this listing

Researched on
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This entry was compiled from publicly available data including Ambience Healthcare's official website, press releases, documentation, and reputable third-party publications. RECATOOLS is not affiliated with Ambience Healthcare unless explicitly stated.

Data accuracy

Third-party AI tools update their pricing, features, availability, and policies frequently. Information here may be outdated by the time you read this — we make reasonable efforts to keep listings current, but cannot guarantee absolute accuracy.

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